Individual provider Active NPI

Samantha Mey, BCBA

  • Behavior Analyst
  • Oakland, CA
National Provider Identifier
1013424167
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-43389 Issued in CA
Practice address
66 Franklin St Ste 300
Oakland, CA 94607-3734
Phone
(512) 736-0553
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0681 MN
Behavior Analyst 103K00000X 8523 TX
Behavior Analyst 103K00000X 1-20-43389 CA Primary
Behavior Analyst 103K00000X 15BC00225400 NJ
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 7401002772 MI

Addresses

Primary practice location

66 Franklin St Ste 300
Oakland, CA 94607-3734

Mailing address

66 Franklin St Ste 300
Oakland, CA 94607-3734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8523TXMDCounselor
7401002772MIMDBehavioral Analyst
LBA0681MNMDBehavioral Analyst
15BC00225400NJMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Soul Collective LLC Behavior Analyst Current Accepting new patients
Junior Boom ABA LLC Behavior Analyst Past Accepting new patients

Locations

66 Franklin St
Ste 300
Oakland, CA 94607
Phone (510) 200-8878

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1013424167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 FRANKLIN ST STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 FRANKLIN ST STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073734",
            "telephone_number": "512-736-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEY",
        "first_name": "SAMANTHA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0681",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "8523",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-43389",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "15BC00225400",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.